MARK N. ANDERSON BA – NPI #1427247097
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

MARK ANDERSON is a community based residential treatment facility located in NUNICA, MI. NPPES has assigned the NPI number 1427247097 to MARK ANDERSON on October 19, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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NPI Profile for
MARK N. ANDERSON

NPI Number
1427247097
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK N. ANDERSON
Credentials
BA
Primary location
17160 130TH AVE
NUNICA, MI 49448-9450
Phone: (616) 847-4460 Fax: (616) 847-4467
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.